HomeMy WebLinkAboutCAG2024-143 - Change Order - #1 - King County Directors Association - Lake Meridian Park Playground Equipment & Safety Surfacing - 06/12/2024 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form Dir Asst:
• For Approvals,Signatures and Records Management Dir/Dep:
KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. (Optional)
WA S H I N G T O N
Originator: Department:
KateLynn Jennings for Bryan Higgins Parks, Recreation&Community Services
Date Sent: Date Required:
> 6/12/2024 6/19/2024
0
CL Authorized to Sign: Date of Council Approval:
C [ZDirector or Designee Mayor N/A
Budget Account Number: Grant? Yes WIN
P00006
Budget?w]Yes:No Type: N/A
Vendor Name: Category:
King County Directors Association Contract
Vendor Number: Sub-Category:
= 34116 Amendment
Project Name:
Lake Meridian Park- Playground Equipment& Safety Surfacing - Change Order 1
E
= Project Details:
Additional demo footing and backfill
C
d
4) Agreement Amount: $4,408 Basis for Selection of Contractor: Other
47 `Memo to Mayor must be attached
3- Start Date: 1/1/2023 Termination Date: 12/31/2024
Im
Q Local Business?F--]YeslzNo* If meets requirements per KCC3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace.
Business License Verification:Yes:In-Process Exempt(KCC 5.01.045)
Notice required prior to disclosure? Contract Number:
FTesQNo CAG2024-143
Comments:
cn 6/12 - received in the City Clerk's Office.
C
3 cc
a)
> i
N
cc a3, Date Received by City Attorney: N/A
R
Date Routed to the Mayor's Office: N/A
N
Date Routed to the City Clerk's Office:
,c00)373_-_70 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20200218
CHANGE ORDER
Nortbwes�, Playground DATE
nwpIayground.com CONTRACT PO#
CUSTOMER INFORMATION: PROJECT NAME:
Kent,City of Lake Meridian Park-Surfacing Replacement
220 Fourth Ave S SALESPERSON:
Kent WA 98032
DELIVERY CONTACT: SHIPPING ADDRESS:
14800 Southeast 272nd Street WA
CO# CITY ITEM# VENDOR ADDITIONS/DEDUCTIONS FROM ORIGINAL ORDER List Price
1 1 Install R&R Additional day to demo footing and backfiII0 $ 3,840.00
1 1 Install RR Temp fencing $ 160.00
Bond: $ -
Subtotal $ 4,000.00
Tax Rate 10.20% Tax: $ 408.00
Total Adjustment: $ 4,408.00
Original Contract: $ 232,192.87
Updated Contract Amount: $ 236,600.87
Name:Terry Jungman Title:Parks Planning&Development Manager
Sign at ure:reny Jun uun 12,202414:59 PDT) Date: 06/12/24
Signature• Me2sa Mccorwlck
Melissa McCormick(Jun 12,202420:50 PDT)
Email: cityclerk@kentwa.gov
Customer CO2 Lake Meridian Park -
Playground Surfacing Replacement
Final Audit Report 2024-06-13
Created: 2024-06-12
By: KateLynn Jennings(kjennings@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAuViUIdOL9gcjOQT5NfOPzBkRRdLFYk96
"Customer CO2 Lake Meridian Park - Playground Surfacing Rep
lacement" History
Document created by KateLynn Jennings (kjennings@kentwa.gov)
2024-06-12-5:09:18 PM GMT
Document emailed to Terry Jungman (tjungman@kentwa.gov) for signature
2024-06-12-5:13:15 PM GMT
Email viewed by Terry Jungman (tjungman@kentwa.gov)
2024-06-12-9:59:07 PM GMT
d4 Document e-signed by Terry Jungman (tjungman@kentwa.gov)
Signature Date:2024-06-12-9:59:31 PM GMT-Time Source:server
Document emailed to cityclerk@kentwa.gov for signature
2024-06-12-9:59:33 PM GMT
Email viewed by cityclerk@kentwa.gov
2024-06-13-3:49:42 AM GMT
Signer cityclerk@kentwa.gov entered name at signing as Melissa McCormick
2024-06-13-3:50:45 AM GMT
Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date:2024-06-13-3:50:47 AM GMT-Time Source:server
fl Agreement completed.
2024-06-13-3:50:47 AM GMT
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